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Combination of Low-Dose Spinal Anesthesia and Epidural Anesthesia as Anesthetic Management in Patient with Uncorrected Double Outlet Right Ventricle (DORV) Underwent Cesarean Section

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Pregnant patients with uncorrected Double Outlet Right Ventricle (DORV) undergoing cesarean section are challenging for anesthesiologists. We present a case of a 24-year-old woman with a gestational age of 30–32… Click to show full abstract

Pregnant patients with uncorrected Double Outlet Right Ventricle (DORV) undergoing cesarean section are challenging for anesthesiologists. We present a case of a 24-year-old woman with a gestational age of 30–32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.

Keywords: double outlet; uncorrected double; spinal anesthesia; anesthesia; dose spinal; low dose

Journal Title: Annals of Cardiac Anaesthesia
Year Published: 2022

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